Individual provider Active NPI

Samara King, MSOTR/L

  • Recreation Therapist
  • Clermont, FL
National Provider Identifier
1811097397
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
41014 Issued in FL
Practice address
10923 Rushwood Way
Clermont, FL 34714-7545
Phone
(407) 314-5006
Fax
(352) 536-9669
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 41014 FL Primary
Occupational Therapist 225X00000X OT11595 FL

Addresses

Primary practice location

10923 Rushwood Way
Clermont, FL 34714-7545

Mailing address

10923 Rushwood Way
Clermont, FL 34714-7545
Phone (407) 314-5006

Other identifiers 1

IdentifierTypeStateIssuer
8911070MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827003003 FL Practitioner - Occupational Therapist in Private Practice 6901816594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Mobility Rehabilitation Inc.Group PAC ID 7911131198, 17 clinicians

Practice addresses (Care Compare)

1601 Hooks St
FL 4
Clermont, FL 34711-3510
Phone (352) 243-9341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41014FLMDRecreation Therapist
OT11595FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Home Healthcare Inc CurrentSince Apr 1, 2026 Accepting new patients
FCHR PA CurrentSince Apr 1, 2026 Accepting new patients
Mobility Rehabilitation Inc. CurrentSince Aug 20, 2025 Accepting new patients
Inspire Rehabilitation Services Occupational Therapist Past Accepting new patients

Locations

1529 Sunrise Plaza Dr
Ste 6
Clermont, FL 34714
Phone (352) 243-9341

627 8th St
Clermont, FL 34711
Phone (352) 243-4422

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811097397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10923 RUSHWOOD WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147545",
            "telephone_number": "407-314-5006",
            "fax_number": "352-536-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10923 RUSHWOOD WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147545",
            "telephone_number": "407-314-5006",
            "fax_number": "352-536-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SAMARA",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "FL",
            "license": "41014",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.